OrganizationActive
Revive Health and Wellness PLLC
NPI 1760721492 · Health Service Clinic/Center · Rogers, AR
Provider details
- NPI number
- 1760721492
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karla Cardon, Clinic Manager(479) 464-0840
- License
- E1940 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5309 Village Pkwy Ste 3
Rogers, AR 72758-8102
Phone: (479) 464-0840
Street-level locationGet directions
Mailing address
5309 Village Pkwy Ste 3
Rogers, AR 72758-8102
Registry dates
- Enumerated
- 2013-01-31
- Last updated
- 2013-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.